In this episode of "Pemba On Demand," host Dr. Norman A. Chapin interviews Dr. Lloyd Marks, a physician, engineer, entrepreneur, and alumnus of the University of Tennessee's Physician Executive MBA program. Dr. Marks discusses his transition from engineering to medicine, his motivation for obtaining an MBA, and his work in medical innovation. He highlights his development of a non-invasive device for detecting shock in patients and shares insights into the challenges of merging engineering with clinical practice. The conversation emphasizes the importance of interdisciplinary collaboration and the need for physician-driven innovation in healthcare.

• Transition from engineering to medicine and the motivations behind it
• Pursuit of an MBA to enhance business acumen in healthcare
• Development of a non-invasive device for detecting shock in patients
• Challenges faced in bridging engineering and clinical practice
• Importance of interdisciplinary collaboration in medical innovation
• Role of mentorship and guidance for aspiring medical entrepreneurs
• Significance of intellectual property protection for innovators
• Insights on the evolving landscape of healthcare technology
• Emphasis on patient-centered care in medical advancements
• Building professional networks and relationships in the healthcare field

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Lloyd Marks on LinkedIn

In this episode of "Pemba on Demand," host Dr. Norman A. Chapin engages in a conversation about professional development for physicians with Dr. Archie Bella, an internist and CEO of a federally qualified health center (FQHC) in San Diego. Dr. Bella recounts his journey from being a staff physician to becoming a CEO, shedding light on the unique challenges of managing an FQHC that serves underserved populations. He shares strategies for boosting patient volume, enhancing operational efficiency, and ensuring financial stability. Dr. Bella also underscores the significance of quality improvement, community engagement, and effective communication in improving patient care and ensuring organizational sustainability. The episode offers valuable insights into healthcare leadership and management.

• Transition from clinical practice to healthcare leadership
• Role and significance of federally qualified health centers (FQHCs)
• Challenges faced by FQHCs in the healthcare landscape
• Reimbursement models for FQHCs versus private practices
• Strategies for increasing patient volume and operational efficiency
• Importance of community engagement and communication
• Implementation of technology to reduce patient no-show rates
• Development of quality improvement teams and training
• Financial management and strategic planning in healthcare organizations
• Future sustainability and adaptation of FQHCs in changing healthcare environments

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Archie Bella on LinkedIn

In this episode of "Pemba on Demand," host Dr. Norman A. Chapin engages in a conversation with Zack Buck, JD, who serves as the Associate Dean for Faculty Development and Professor of Law at the University of Tennessee, Knoxville. They delve into the topic of Chevron deference, a legal doctrine that permits agencies to interpret ambiguous laws, and examine its influence on healthcare regulation. Zack provides insights into the intricacies of healthcare law, discussing the balance between state and federal powers, as well as the potential implications of recent Supreme Court decisions that might restrict agency authority. The discussion underscores the significance of comprehending legal frameworks for effective healthcare leadership and the navigation of regulatory changes.

• Chevron deference and its implications for healthcare regulation
• The role of administrative law in healthcare practices
• Health policy matrices: access, cost, quality, and choice
• The impact of recent Supreme Court decisions on agency authority
• The balance of power between state and federal governments in healthcare regulation
• Challenges faced by healthcare leaders in navigating legal frameworks
• The transition from fee-for-service to value-based care models
• Potential monopolistic practices resulting from regulatory interventions
• The relationship between regulatory compliance and ethical responsibilities in healthcare
• The importance of staying informed about legal developments in healthcare law

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Zack Buck on LinkedIn

In this episode of "Pemba on Demand," host Dr. Norman A. Chapin welcomes Dr. Christopher Chisholm, Chief Medical Officer for Swedish Health Systems in Seattle, Washington. Dr. Chisholm, a recent Pemba program graduate, shares insights from his 20-year naval medicine career and his transition to civilian healthcare leadership. Titled "From Kandahar to COVID: Leadership Lessons from the Past Quarter Century," the episode explores differences between military and civilian healthcare, team-building challenges, and the COVID-19 pandemic's impact on leadership. Dr. Chisholm emphasizes the importance of communication, adaptability, and simulation training in effective healthcare leadership.

• Transition from military to civilian healthcare leadership
• Leadership lessons from military medicine
• Differences between military and civilian healthcare systems
• Challenges of team building in high-pressure environments
• Impact of the COVID-19 pandemic on healthcare leadership
• Importance of communication and collaboration in teams
• Managing stress and burnout among healthcare professionals
• Simulation training for high-stakes healthcare situations
• Insights from the Pemba program on healthcare administration
• Advice for emerging physician leaders on collaboration and growth

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Christopher Chisholm on LinkedIn

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin and guest Dr. Donald Lighter, MD discuss the critical role of physician leadership in healthcare. Dr. Lighter, a core faculty member of the Pemba program with a background in pediatrics, shares insights on the evolution of physician roles, the importance of developing soft skills, and the relevance of the Baldrige framework. They highlight the Pemba program's impact on fostering leadership skills, the significance of value-based care, and the necessity of continuous improvement in healthcare. Dr. Lighter also recounts memorable teaching moments and emphasizes the importance of networking and collaboration among physicians..

• Evolution of the Pemba program and its impact on physician leadership.
• Importance of physician leadership in enhancing healthcare systems.
• Development of soft skills in physicians for effective leadership.
• Overview of the Baldrige framework and its relevance to healthcare quality improvement.
• Achievements and contributions of Pemba alumni in various healthcare sectors.
• Challenges faced by physician leaders in maintaining patient-centered care.
• Shift towards value-based care and its implications for healthcare delivery.
• Role of teamwork and collaboration in healthcare settings.
• Importance of patient engagement and satisfaction in healthcare outcomes.
• Future trends and challenges in physician leadership within evolving healthcare landscapes.

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Donald Lighter on LinkedIn
  

Books on Quality Improvement in Healthcare:

Basics of Health Care Performance Improvement: A Lean Six Sigma Approach (1st Edition) – Barnes & Noble

Advanced Performance Improvement in Health Care: Principles and Methods – Barnes & Noble

Essentials for Quality and Safety Improvement in Health Care: A Resource for Developing Countries – Barnes & Noble

Curing Health Care: New Strategies for Quality Improvement (1st Edition) – Barnes & Noble

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin converses with Dr. Sandy Villano Stock about her entrepreneurial journey in concierge medicine and direct primary care. Dr. Villano Stock discusses how her MBA from Pemba influenced her decision to establish In Vogue Med and Wellness, focusing on personalized patient care. The episode addresses the challenges in healthcare, such as physician burnout and the shortage of primary care doctors, and highlights the benefits of innovative care models. Dr. Villano Stock shares insights on balancing business models, measuring patient satisfaction, and the importance of work-life balance for healthcare providers.

• The journey of Dr. Sandy Villano Stock in entrepreneurship within concierge medicine and direct primary care.
• The impact of an MBA on career development and practice establishment.
• Challenges in the healthcare industry, including physician shortages and burnout.
• The rising demand for personalized healthcare post-COVID-19.
• The growth of concierge medicine and direct primary care models.
• Innovative patient care strategies, including smaller patient panels and direct communication with physicians.
• Membership models in healthcare, contrasting concierge care with traditional insurance billing.
• The importance of measuring patient experience and retention in medical practices.
• Integration of telehealth services and after-hours care in patient management.
• Advice for physicians considering a transition to concierge medicine or direct primary care.

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Bruce Meyer on LinkedIn

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin revisits a conversation with Dr. Bruce Meyer, Executive Vice President for Highmark Health, focusing on value-based care and healthcare transformation. Dr. Meyer shares insights from his journey, including his MBA from the University of Tennessee, and addresses systemic challenges in U.S. healthcare, such as high administrative costs and inefficiencies. He stresses the importance of transitioning from fee-for-service to value-based care, underscoring the role of non-physician providers and the necessity of structured healthcare budgeting. The episode also highlights mentorship, particularly Dr. Meyer's impact on Dr. Jason Gunderson's career.

• Value-based care and its importance in healthcare transformation.
• The systemic challenges and inefficiencies in the U.S. healthcare system.
• The impact of healthcare costs on personal bankruptcy and financial sustainability.
• The role of government payers like Medicare and Medicaid in healthcare funding.
• The historical escalation of healthcare spending in the U.S. and its implications.
• The transition from a fee-for-service model to a value-based care approach.
• The significance of mentorship in professional development within healthcare.
• The cultural differences in healthcare delivery between the U.S. and other countries.
• The potential of non-physician providers in enhancing patient care and system efficiency.
• The need for collaboration between payers and providers to improve patient outcomes and manage costs effectively.

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. Bruce Meyer on LinkedIn

In episode 31 of "Pemba on Demand," host Dr. Norman A. Chapin revisits the podcast's inaugural live stream with guest Dr. Rinku Mehra, a pediatric endocrinologist and founder of a direct specialty care practice. Dr. Mehra shares her journey from a corporate job to establishing her own practice after obtaining an MBA. She discusses challenges in traditional healthcare, such as limited access to specialists and patient dissatisfaction. Embracing telemedicine and a concierge model, Dr. Mehra emphasizes personalized care and patient education. The episode highlights her innovative approach to healthcare and future plans for expanding her practice.

• Dr. Rinku Mehra's background and training in pediatric endocrinology.
• Transition from a corporate job to founding an independent direct specialty care practice.
• Challenges faced in traditional healthcare delivery, including access and patient dissatisfaction.
• Adoption and benefits of telemedicine in improving patient engagement and satisfaction.
• Implementation of a direct care model that emphasizes transparency and personalized care.
• Focus on patient-centric approaches, including extended appointment times for better understanding of patient needs.
• Plans for expanding telemedicine services and incorporating additional physicians into her practice.
• Use of social media for patient education and combating misinformation in healthcare.
• Creation of educational resources for parents regarding nutrition and health conditions.
• Reflections on pursuing an MBA and its impact on her career and practice model.

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Rinku Mehra on LinkedIn